12/05/2025 | Press release | Distributed by Public on 12/05/2025 13:30
Effective January 1, 2026, the SC Modifier must be appended to all lymphedema compression treatment item claims submitted to the DME MACs when all of the statutory and reasonable and necessary requirements outlined in the Lymphedema Treatment Act regulations have been met. This does not change regulations or the requirements governing coverage of these items.
Members can learn more about coverage of lymphedema treatment items here.